Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, Rauscher JT, Restrepo A, Morais F, Niño-Vega G, Taylor JW, 2006. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol 23: 65–73.
Bellissimo-Rodrigues F, Machado AA, Martinez R, 2011. Paracoccidioidomycosis epidemiological features of a 1,000-cases series from a hyperendemic area on the southeast of Brazil. Am J Trop Med Hyg 85: 546–550.
Prado M, Silva MB, Laurenti R, Travassos LR, Taborda CP, 2009. Mortality due to systemic mycoses as a primary cause of death or in association with AIDS in Brazil: a review from 1996 to 2006. Mem Inst Oswaldo Cruz 104: 513–521.
Martinez R, 2010. Paracoccidioidomycosis: the dimension of the problem of a neglected disease. Rev Soc Bras Med Trop 43: 480.
Valle ACF, Wanke B, Wanke NCF, Peixoto TC, Perez M, 1992. Tratamento da paracoccidioidomicose: estudo retrospectivo de 500 casos. Análise clínica, laboratorial e epidemiológica. An Bras Dermatol 67: 251–254.
Joint United Nations Programme on HIV/AIDS (UNAIDS), 2015. Global AIDS Response Progress Reporting 2015. Geneva, Switzerland: World Health Organization. Available at: http://www.unaids.org/sites/default/files/media_asset/JC2702_GARPR2015guidelines_en.pdf. Accessed March 27, 2015.
Pedro RJ, Aoki FH, Boccato RSBS, Branchini MLM, Júnior FLG, Papaiordanou PM, Ramos MC, 1989. Paracoccidioidomycosis and human immunodeficiency vírus infection. Rev Inst Med Trop Sao Paulo 31: 119–125.
Goldani LZ, Sugar AM, 1995. Paracoccidioidomycosis and AIDS: an overview. Clin Infect Dis 21: 1275–1281.
Marques SA, Robles AM, Tortorano AM, Tuculet MA, Negroni R, Mendes RP, 2000. Mycoses associated with AIDS in the Third World. Med Mycol 38: 269–279.
Wheat J, 1996. Histoplasmosis in the acquired immunodeficiency syndrome. Curr Top Med Mycol 7: 7–18.
Galgiani JN, Ampel NM, Blair JE, Catanzaro A, Johnson RH, Stevens DA, Williams PL, 2005. Coccidioidomycosis. Clin Infect Dis 41: 1217–1223.
Benard G, Duarte AJ, 2000. Paracoccidioidomycosis: a model for evaluation of the effects of human immunodeficiency virus infection on the natural history of endemic tropical diseases. Clin Infect Dis 31: 1032–1039.
Silva-Vergara ML, Teixeira AC, Curi VG, Costa Júnior JC, Vanunce R, Carmo WM, Silva MR, 2003. Paracoccidioidomycosis associated with human immunodeficiency virus infection. Report of 10 cases. Med Mycol 41: 259–263.
Morejón KML, Machado AA, Martinez R, 2009. Paracoccidioidomycosis in patients infected with and not infected with human immunodeficiency virus: a case-control study. Am J Trop Med Hyg 80: 359–366.
Paniago AM, Freitas AC, Aguiar ES, Aguiar JI, Cunha RV, Castro AR, Wanke B, 2005. Paracoccidioidomycosis in patients with human immunodeficiency virus: review of 12 cases observed in an endemic region in Brazil. J Infect 51: 248–252.
Franco M, Montenegro MR, Mendes RP, Marques AS, Dillon ML, Mota NGS, 1987. Paracoccidioidomycosis: a recently proposed classification of its clinical forms. Rev Soc Bras Med Trop 20: 129–132.
Karp CL, Neva FA, 1999. Tropical infectious diseases in human immunodeficiency virus-infected patients. Clin Infect Dis 28: 947–965.
Marchiori E, Gasparetto EL, Escuissato DL, Souza AS Jr, Barreto MM, 2007. Pulmonary paracoccidioidomycosis and AIDS: high-resolution CT findings in five patients. J Comput Assist Tomogr 31: 605–607.
Marques AS, Petrechen L, Kakuda AC, Chiossi MP, Marques ME, 2014. Paracoccidioidomycosis and HIV coinfection presenting severe disease even with CD4+ cells in the normal range. Rev Iberoam Micol 31: 154–155.
Almeida RA, Narikawa S, Tagliarini JV, Marques ME, Schellini AS, 2013. Dacryostenosis due to Paracoccidioides brasiliensis in a patient with an unnoted HIV-1 infection. Can J Ophthalmol 48: e61–e62.
Brunaldi MO, Rezende RE, Zucoloto S, Garcia SB, Módena JL, Machado AA, 2010. Co-infection with paracoccidioidomycosis and human immunodeficiency virus: report of a case with esophageal involvement. Am J Trop Med Hyg 82: 1099–1101.
Caseiro MM, Etzel A, Soares MC, Costa SO, 2005. Septicemia caused by Paracoccidioides brasiliensis (Lutz, 1908) as the cause of death of an AIDS patient from Santos, São Paulo State, Brazil: a nonendemic area. Rev Inst Med Trop Sao Paulo 47: 209–211.
Castro G, Martinez R, 2006. Disseminated paracoccidioidomycosis and coinfection with HIV. N Engl J Med 355 (25): 2677.
Cury PM, Pulido CF, Furtado VM, Palma FM, 2003. Autopsy findings in AIDS patients from a reference hospital in Brazil: analysis of 92 cases. Pathol Res Pract 199: 811–814.
Freitas RS, Dantas KC, Garcia RS, Magri MM, Andrade HF Jr, 2010. Paracoccidioides brasiliensis causing a rib lesion in an adult AIDS patient. Hum Pathol 41: 1350–1354.
Finamor LP, Muccioli C, Martins MC, Rizzo LV, Belfort R Jr, 2002. Ocular and central nervous system paracoccidioidomycosis in a pregnant woman with acquired immunodeficiency syndrome. Am J Ophthalmol 134: 456–459.
Giovani EM, Mantesso A, Loducca SV, Magalhães MH, 2000. Paracoccidioidomycosis in an HIV-positive patient: a case report with gingival aspects. Oral Dis 6: 327–329.
Godoy P, Lelis SS, Resende UM, 2006. Paracoccidioidomycosis and acquired immunodeficiency syndrome: report of necropsy. Rev Soc Bras Med Trop 39: 79–81.
Lambertucci JR, Vale TC, Voieta I, 2010. Concomitant progressive multifocal leukoencephalopathy and disseminated paracoccidioidomycosis in an AIDS patient. Rev Soc Bras Med Trop 43: 758.
Marques SA, Camargo RM, Abbade LP, Fortaleza CM, Marques ME, 2010. Paracoccidioidomycosis: an unusual presentation in a young girl disclosing an unnoted HIV-infection. Med Mycol 48: 182–187.
Nogueira LM, Santos M, Ferreira LC, Talhari C, Rodrigues RR, Talhari S, 2011. AIDS-associated paracoccidioidomycosis in a patient with a CD4+ T-cell count of 4 cells/mm3. An Bras Dermatol 86 (Suppl 1): S129–S132.
Nunura RJ, Salazar MD, Vásquez LT, Endo GS, Rodríguez FA, Zerpa LR, 2010. Paracoccidioidomicosis and multidrug-resistant tuberculosis (TBC-MDR) in patient coinfected with HIV and hepatitis C. Rev Chilena Infectol 27: 551–555.
Pontes HA, Guimarães DM, Pontes FS, Paiva HB, Pinto LC, de Freitas Silva BS, Dos Santos Pinto D Jr, 2011. Kaposi sarcoma and paracoccidioidomycosis in the same fragment of oral mucosa biopsy: a rare association in human immunodeficiency virus-positive patient. A case report. Diagn Microbiol Infect Dis 69: 196–199.
Safe IP, Valle FF, Maia DC, Agonio B, Monte RL, Araújo JR, Cordeiro-Santos M, 2014. Extra-pulmonary manifestations of paracoccidioidomycosis associated with acquired immunodeficiency syndrome: a case report. An Bras Dermatol 89: 150–153.
Corti M, Villafane MF, Negroni R, Palmieri O, 2004. Disseminated paracoccidioidomycosis with peripleuritis in an AIDS patient. Rev Inst Med Trop Sao Paulo 46: 47–50.
Shikanai-Yasuda MA, Telles-Filho FQ, Mendes RP, Colombo AL, Moretti ML, Grupo de Consultores do Consenso em Paracoccidioidomicose, 2006. Consenso em paracoccidioidomicose. Rev Soc Bras Med Trop 39: 297–310.
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Paracoccidioidomycosis (PCM) is endemic to Latin America, where 10 million people may be infected with Paracoccidioides brasiliensis/Paracoccidioides lutzii and 1,600,000 individuals live with human immunodeficiency virus (HIV) infection. An epidemiological overlapping of these infections occurred early in acquired immunodeficiency syndrome era with nearly 180 published cases. This study presents epidemiological, clinical, and outcome profiles for 31 PCM patients with HIV infection diagnosed in a teaching hospital in Brazil, and includes an update of previously reported cases. Medical records were reviewed and data compared with 64 PCM patients without HIV infection. Of the 31 PCM patients with HIV infection, 23 (74.1%) were male, with a median age of 36.7 years, whereas of the 64 PCM, 45 (70.3%) were male, with a median age of 35.1 years. Both groups presented similar proportions for smoking and alcoholism. PCM patients with HIV infection presented more fever, weight loss, and the acute clinical form than the PCM patients who had more mucosal and respiratory involvement characterizing the chronic form. Most PCM patients with HIV infection exhibited overlapping symptoms from both clinical forms with median symptom duration of 4.5 months compared with 8.3 months for the PCM control. Patients received sulfonamides and/or itraconazole for a median of 15.7 and 16.7 months for PCM/HIV-infected and PCM, respectively. Relapses occurred more in PCM (12 [30%]) than PCM/HIV-infected (4 [14.8%]) patients, whose mortality rate was higher (10 [32.8%]) than PCM patients (8 [20%]). The cases of PCM/HIV infection confirm that HIV can interact with some endemic diseases without increasing their frequency, while changing their natural history, clinical presentation, and outcome. The data presented here are in agreement with those observed in other studies.
Financial support: This study was funded by CNPq grant 470224/2012-6 and FAPEMIG grant APQ 01624-12.
Authors' addresses: Fabrício Arantes de Almeida, Fernando Freitas Neves, Delio Jose Mora, Tarcisio Albertin Dos Reis, Diego Moelas Sotini, Barbara de Melo Ribeiro, Leonardo Eurípedes Andrade-Silva, Kennio Ferreira-Paim, and Mario León Silva-Vergara, Infectious Diseases Unit, Triângulo Mineiro Federal University, Uberaba, Brazil, E-mails: fabricioarantes1988@gmail.com, fernando.neves.f@gmail.com, delioj@gmail.com, tarcisioar@hotmail.com, diegosotini@hotmail.com, secretariadip@dcm.uftm.edu.br, leonardoeuripedes@gmail.com, kenniopaim@gmail.com, and marioleon.dip@mednet.com.br. Gabriel Nogueira Nascentes, Federal Institute of Triângulo Mineiro, Uberaba, Brazil, E-mail: gabrielnog@yahoo.com.br.
Matute DR, McEwen JG, Puccia R, Montes BA, San-Blas G, Bagagli E, Rauscher JT, Restrepo A, Morais F, Niño-Vega G, Taylor JW, 2006. Cryptic speciation and recombination in the fungus Paracoccidioides brasiliensis as revealed by gene genealogies. Mol Biol Evol 23: 65–73.
Bellissimo-Rodrigues F, Machado AA, Martinez R, 2011. Paracoccidioidomycosis epidemiological features of a 1,000-cases series from a hyperendemic area on the southeast of Brazil. Am J Trop Med Hyg 85: 546–550.
Prado M, Silva MB, Laurenti R, Travassos LR, Taborda CP, 2009. Mortality due to systemic mycoses as a primary cause of death or in association with AIDS in Brazil: a review from 1996 to 2006. Mem Inst Oswaldo Cruz 104: 513–521.
Martinez R, 2010. Paracoccidioidomycosis: the dimension of the problem of a neglected disease. Rev Soc Bras Med Trop 43: 480.
Valle ACF, Wanke B, Wanke NCF, Peixoto TC, Perez M, 1992. Tratamento da paracoccidioidomicose: estudo retrospectivo de 500 casos. Análise clínica, laboratorial e epidemiológica. An Bras Dermatol 67: 251–254.
Joint United Nations Programme on HIV/AIDS (UNAIDS), 2015. Global AIDS Response Progress Reporting 2015. Geneva, Switzerland: World Health Organization. Available at: http://www.unaids.org/sites/default/files/media_asset/JC2702_GARPR2015guidelines_en.pdf. Accessed March 27, 2015.
Pedro RJ, Aoki FH, Boccato RSBS, Branchini MLM, Júnior FLG, Papaiordanou PM, Ramos MC, 1989. Paracoccidioidomycosis and human immunodeficiency vírus infection. Rev Inst Med Trop Sao Paulo 31: 119–125.
Goldani LZ, Sugar AM, 1995. Paracoccidioidomycosis and AIDS: an overview. Clin Infect Dis 21: 1275–1281.
Marques SA, Robles AM, Tortorano AM, Tuculet MA, Negroni R, Mendes RP, 2000. Mycoses associated with AIDS in the Third World. Med Mycol 38: 269–279.
Wheat J, 1996. Histoplasmosis in the acquired immunodeficiency syndrome. Curr Top Med Mycol 7: 7–18.
Galgiani JN, Ampel NM, Blair JE, Catanzaro A, Johnson RH, Stevens DA, Williams PL, 2005. Coccidioidomycosis. Clin Infect Dis 41: 1217–1223.
Benard G, Duarte AJ, 2000. Paracoccidioidomycosis: a model for evaluation of the effects of human immunodeficiency virus infection on the natural history of endemic tropical diseases. Clin Infect Dis 31: 1032–1039.
Silva-Vergara ML, Teixeira AC, Curi VG, Costa Júnior JC, Vanunce R, Carmo WM, Silva MR, 2003. Paracoccidioidomycosis associated with human immunodeficiency virus infection. Report of 10 cases. Med Mycol 41: 259–263.
Morejón KML, Machado AA, Martinez R, 2009. Paracoccidioidomycosis in patients infected with and not infected with human immunodeficiency virus: a case-control study. Am J Trop Med Hyg 80: 359–366.
Paniago AM, Freitas AC, Aguiar ES, Aguiar JI, Cunha RV, Castro AR, Wanke B, 2005. Paracoccidioidomycosis in patients with human immunodeficiency virus: review of 12 cases observed in an endemic region in Brazil. J Infect 51: 248–252.
Franco M, Montenegro MR, Mendes RP, Marques AS, Dillon ML, Mota NGS, 1987. Paracoccidioidomycosis: a recently proposed classification of its clinical forms. Rev Soc Bras Med Trop 20: 129–132.
Karp CL, Neva FA, 1999. Tropical infectious diseases in human immunodeficiency virus-infected patients. Clin Infect Dis 28: 947–965.
Marchiori E, Gasparetto EL, Escuissato DL, Souza AS Jr, Barreto MM, 2007. Pulmonary paracoccidioidomycosis and AIDS: high-resolution CT findings in five patients. J Comput Assist Tomogr 31: 605–607.
Marques AS, Petrechen L, Kakuda AC, Chiossi MP, Marques ME, 2014. Paracoccidioidomycosis and HIV coinfection presenting severe disease even with CD4+ cells in the normal range. Rev Iberoam Micol 31: 154–155.
Almeida RA, Narikawa S, Tagliarini JV, Marques ME, Schellini AS, 2013. Dacryostenosis due to Paracoccidioides brasiliensis in a patient with an unnoted HIV-1 infection. Can J Ophthalmol 48: e61–e62.
Brunaldi MO, Rezende RE, Zucoloto S, Garcia SB, Módena JL, Machado AA, 2010. Co-infection with paracoccidioidomycosis and human immunodeficiency virus: report of a case with esophageal involvement. Am J Trop Med Hyg 82: 1099–1101.
Caseiro MM, Etzel A, Soares MC, Costa SO, 2005. Septicemia caused by Paracoccidioides brasiliensis (Lutz, 1908) as the cause of death of an AIDS patient from Santos, São Paulo State, Brazil: a nonendemic area. Rev Inst Med Trop Sao Paulo 47: 209–211.
Castro G, Martinez R, 2006. Disseminated paracoccidioidomycosis and coinfection with HIV. N Engl J Med 355 (25): 2677.
Cury PM, Pulido CF, Furtado VM, Palma FM, 2003. Autopsy findings in AIDS patients from a reference hospital in Brazil: analysis of 92 cases. Pathol Res Pract 199: 811–814.
Freitas RS, Dantas KC, Garcia RS, Magri MM, Andrade HF Jr, 2010. Paracoccidioides brasiliensis causing a rib lesion in an adult AIDS patient. Hum Pathol 41: 1350–1354.
Finamor LP, Muccioli C, Martins MC, Rizzo LV, Belfort R Jr, 2002. Ocular and central nervous system paracoccidioidomycosis in a pregnant woman with acquired immunodeficiency syndrome. Am J Ophthalmol 134: 456–459.
Giovani EM, Mantesso A, Loducca SV, Magalhães MH, 2000. Paracoccidioidomycosis in an HIV-positive patient: a case report with gingival aspects. Oral Dis 6: 327–329.
Godoy P, Lelis SS, Resende UM, 2006. Paracoccidioidomycosis and acquired immunodeficiency syndrome: report of necropsy. Rev Soc Bras Med Trop 39: 79–81.
Lambertucci JR, Vale TC, Voieta I, 2010. Concomitant progressive multifocal leukoencephalopathy and disseminated paracoccidioidomycosis in an AIDS patient. Rev Soc Bras Med Trop 43: 758.
Marques SA, Camargo RM, Abbade LP, Fortaleza CM, Marques ME, 2010. Paracoccidioidomycosis: an unusual presentation in a young girl disclosing an unnoted HIV-infection. Med Mycol 48: 182–187.
Nogueira LM, Santos M, Ferreira LC, Talhari C, Rodrigues RR, Talhari S, 2011. AIDS-associated paracoccidioidomycosis in a patient with a CD4+ T-cell count of 4 cells/mm3. An Bras Dermatol 86 (Suppl 1): S129–S132.
Nunura RJ, Salazar MD, Vásquez LT, Endo GS, Rodríguez FA, Zerpa LR, 2010. Paracoccidioidomicosis and multidrug-resistant tuberculosis (TBC-MDR) in patient coinfected with HIV and hepatitis C. Rev Chilena Infectol 27: 551–555.
Pontes HA, Guimarães DM, Pontes FS, Paiva HB, Pinto LC, de Freitas Silva BS, Dos Santos Pinto D Jr, 2011. Kaposi sarcoma and paracoccidioidomycosis in the same fragment of oral mucosa biopsy: a rare association in human immunodeficiency virus-positive patient. A case report. Diagn Microbiol Infect Dis 69: 196–199.
Safe IP, Valle FF, Maia DC, Agonio B, Monte RL, Araújo JR, Cordeiro-Santos M, 2014. Extra-pulmonary manifestations of paracoccidioidomycosis associated with acquired immunodeficiency syndrome: a case report. An Bras Dermatol 89: 150–153.
Corti M, Villafane MF, Negroni R, Palmieri O, 2004. Disseminated paracoccidioidomycosis with peripleuritis in an AIDS patient. Rev Inst Med Trop Sao Paulo 46: 47–50.
Shikanai-Yasuda MA, Telles-Filho FQ, Mendes RP, Colombo AL, Moretti ML, Grupo de Consultores do Consenso em Paracoccidioidomicose, 2006. Consenso em paracoccidioidomicose. Rev Soc Bras Med Trop 39: 297–310.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 36 | 36 | 8 |
Full Text Views | 396 | 120 | 1 |
PDF Downloads | 152 | 25 | 0 |